- Elevance Health (Chicago, IL)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
- Elevance Health (Chicago, IL)
- … medical policy and Medicare Coverage Determinations. The **Associate Medical Director , Clinical Operations** is responsible for supporting the medical ... Benefits Management Medical Necessity Guidelines, client-specific health plan medical policy, state mandates/policies and Medicare determinations + Conduct… more
- CVS Health (Chicago, IL)
- …skills and attention to detail **Preferred Qualifications** + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience with SAS, SQL, ... our colleagues and our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll in the Company's 401(k)… more
- CVS Health (Chicago, IL)
- …Candidates must reside within commutable distance from a CVS or Aetna office.** The Medicare Stars and Health Equity team is seeking a Lead Dir, Health Equity & ... expanding on equity-based clinical and member experience initiatives leveraging existing Medicare product portfolio. Collaborate closely with the Medicare … more
- Edwards Lifesciences (Chicago, IL)
- …healthier lives. Join us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based role responsible for working ... payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran… more
- Ankura (Chicago, IL)
- …operational, clinical, legal, and regulatory matters. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute ... and pharmacy benefit management companies, as well as pharmaceutical, medical device, and diagnostics manufacturers. Position Expectations The expectation of… more
- Brookdale Senior Living (Chicago, IL)
- …participation in outside events. Coordinates with the business development coordinator/ director in joint efforts for assigned communities to generate referrals ... desired community occupancy goals. + Coordinates with the business development coordinator/ director on a weekly basis regarding joint business development efforts of… more
- CVS Health (Chicago, IL)
- …and affordable. **Position Summary** The Web Channel Owner role for Aetna Medicare is a critical position in our Marketing organization, with accountability for ... shepherd the delivery of Digital Marketing's capabilities backlog for Aetna.com/ Medicare , AllinaHealthAetnaMedicare.com, the Shop, Buy, and Enroll tool, and more,… more
- Elevance Health (Chicago, IL)
- **Process Improvement Director -HEDIS** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director -HEDIS** will be responsible for enterprise HEDIS improvement and governance programs, with… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Research Billing Support ... depending on the circumstances of each case. **Summary:** Reporting to the Director /Manager of Clinical Trials Research Revenue Cycle, this position will create… more
- ChenMed (Chicago, IL)
- …and runs referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepares Referral ... Team Meeting Minutes and send minutes to Operation Director , Market Medical Director , Market...experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in… more
- Prime Healthcare (Chicago, IL)
- …Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Director of Practice Operations will ... be responsible for the operations of all assigned medical groups, and its subsidiaries. Other responsibilities include partnering with Hospital Administration to… more
- Elara Caring (Valparaiso, IN)
- …package + Comprehensive onboarding and mentorship + Opportunities for advancement + Medical , dental, and vision benefits, 401K match and paid time off for ... in fast-paced office is preferred + Working knowledge of Medicare /Medicaid, home care benefits, and applicable state policies and...You will report to the Coordination Team Lead, Branch Director , or Alternate Branch Administrator. _This is not a… more
- Amergis (Chicago, IL)
- …actions to meet members' needs; escalates unresolved needs appropriately to Manager, Medical Director or other appropriate leader + Documents all activities ... implementing treatment plans for complex patients + Prior experience working with Medicare , Medicaid, and Third Party Payer review + Prior experience working with… more